Permit �/.lo9 7 J # u / wo L
CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2008 -00660
° COMMUNITY DEVELOPMENT DATE ISSUED: 12/3/2008
TI G n It D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S134AD -06202
SITE ADDRESS: 10500 SW NIMBUS AVE T ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT : JURISDICTION: TIG
PROJECT: SOLID ROCK FELLOWSHIP
Project Description: (1) branch circuit. 2/2/09, adding (4) branch circuits. Job No. ST2639
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 5 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
CONSTANCE & LYNN ROBINSON SHAW WEST COMPANY
10240 SW NIMBUS AVE #L3 PO BOX 1427
PORTLAND, OR 97223 TUALATIN, OR 97062
Phone: Contact #: PRI 503 - 682 -3939
FAX 503 - 682 -3723
FEES
Description Date Amount Reg #: ELE 34 -70c
[ELPRMT] ELC Permit 12/3/2008 $46.85 LIC 63142
[TAX] 12% State 12/3/2008 $5.62 SUP 5316S
[ELPRMT] ELC Permit 2/2/2009 $26.60
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $82.26
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503.246.66' • or 1.. •0.33 344 . /
�.
Issued B : , ( �� Permittee Signature: (�
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.
FEB %02 /2009 /M0N 09:08 AM P.003
•
Electrical Permit Applicatio;l EcEI, / E' FOR OFFICE USE ONLY
City of Tiga ' l �/ Raeei� a / , J
II 't -la 1�SSW f#al} Blvd.,3 igard -0R -99 FEB Date/By: � Permit No.: � __ _ _ _ � __
°' 7 u Phone: 503.639.4171 Fax: 503,598.1960 D Date/ 2009 Plan Review - -' - --
Date/13 : Other Permit:
T I C ARl) Inspection Line; 503.639.4175 Date Ready/9y: i Sc ®e Page 2 for
� (�, 1.� �(,, Internet www.tigatd °r..gov CITY OF Notified/Method; Supplemental Information
L. �� .p.T.•
t f�5"i..jr.t ,�btZ1 .�J'�`.0 'L 1�I1 {RSi e l F .jl•*N`.. '�31Yr� J�:�, q '� M"7weL7Ef�i" ,
F'v, ey r'`':4,1 `Ma " ' ti'l:i.�� - JJl�t '��. TF fr ^�
3 iA5mr .......n.,b4. -,,. 1..- i:..,Srl<,.,�,cUs1rE . 6 ` e ti 2/1. `�1z !17y 1..i! rAla:�i:�.e.i�7- „r��#0.1 1 .�._ $
•
❑ New construction El Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below);
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑Other:
�� 6 _ where the available fault current 12 Marinas and boatyards.
4K1 Y tlw n 1 �Ft FtiS: n t ` t6 ° � 0 x� ° r rl rt�f � MR` S �",y" - exceeds -10 mpsart50 voltsvr •1911eating
® less mp all other exceeds 14,000 ❑ Cor use agricultural
❑ 1 and 2 family dwelling
❑ Accessory building amps for alt other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire putnp,
S'tk �'P+a A . � �'�;��� "'1'.�t =r""" ^'r,: � �.,��ll,cx� �- ,.',� w •r 0 Installation of 75 KVA or
f t w , ,t QJt(; �I i� ' i E� e lt f t n � ` t ���ti,�J P jt: ' ; 'Yt QEmerge m. • leei
...>�L. � ,.rra�,a;a:.usazilNN.lti;l'�it • �" t4vrT� Girf7��' f'' r + �: 'Si:'L�1�a'F.:.l`wlti[�w.�e1,�'
❑ Addition n of new e motor load of ❑ "A arg " , "E rseparat ' , "! -2 1 -3 "ve, system.
Job no,: S 26 301 Job site address: I L 500 WI f '/1 I fl b C 100HP or more. occupancy.
u S t 1�11� I ❑ Six or more residential unite. ❑ Recreational vehicle parka.
City /State/ZIP: Po' r Q I?. G 7 222 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal,
Suite/bldgJapt. no.: Project name: s rock. F ((Ct I ❑Service or {seder 600 amps or more,
�`+ IS -..s` dal iP ;ILL i, ' .� - ; n .
Cross Street/directions to job site
Description
;a • � - ., � . ,.. •,• ,Y, ' Tr • , • ; Description I Qty, Fee. W ' Totol I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft or less _ 145.15 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1
/' �a�_p p ,� (with above sq ,. Limited energy, residential 75.00 2
u L�� 4� �,wj t L!�i�lt ]�oJYM+rW YS� -mac j n >i tt.)
.�w'l u,. ,.:u..ts 1`,u.. _n._...,..ab., .,1 r4:: »i i,,. , u.,c.,
• ems ` 2 Limited energy, multi-family u d�� i6 -rip / Cr-i� cY l.t O 6 o(p residential (with above sq. R) 75.E 2
Services or feeders installation, alteration, and/or relocation
:-r u t t p •,..�Y ,,:; .�� . < 7 ' y� t � + b 1 200 amps °r less 8030 2
t:Nalah m1- - n t ' , baggi' �; .,.::ol 1� ' . �,.w k { ' 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: • Over 1,000 amps or volts 454.65 2 '
City/State/ZIP: Temporary services or feeders Installation, alteration, and/or
relocation
•
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. _ 401 amps to 599 amps 133.75 2
Owner signature: Date:
Branch circuits- new, alteration, or extension, per panel
I . , A. Fee for branch circuits with
,,i. : . 1,c (?�:.,
.. „•.. . ".+t 7,7:4; � '`: r as '-i i''. " q above service or feeder fee,
'tYl'z ": �:,.u: /,�� each branch circuit 6.65 2
Business name: B. Fee for branch circuits
Contact name: without service or feeder t8e, 46.85 2
first branch circuit
Address: Each add'I branch circuit I 4. 6.65 26.401 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular -
dwelling, service and/or feeder
Phone: ( ) Fax :: ( ) 90 .90 2
Reconnect only 66.85 2
E -mail' Pump or irrigation circle
-
. 40 2
'7i3e' y�
14 11 }..' rt3h r:!4�. •`E.a: d :. ' ti p. - i i��n `�Y•':'4i'�'t X .i ; r sign or lighting
m w j- ,.:__ ..,sd !zl ?, . �... •>l'�I.e _:�.,�:k ; P� outline 53.40 2
Business name: Shaw West Co. Signal circuit(,) or limited
energy panel, alteration, or
Address: P.O. Box 1427 extension, Describe: Page 2 2
City /State/ZIP: Tualatin OR 97062 Each additional inspection over allowable in any the above
Phone: (503) 682 -3939 Fax: (503) 682 -3723 Per inspection 62.50
Investigation per hour (I hr min) 62.50
CCB Lic.: 63142 Electrical Lic.: 34-70C Suprv. Lie.: 5316S Industrial plant per hour 73.75
Suprv. Electrician signature, required; , t / , �' f'';., r�rA).1.� 'i 1.1 tilt, ,. °_ �i3 - ;;• 2i:.5 ..?' 1`:
Subtotal: (
Print name: Dale T. BI: Date: plop Plan review (25 %of permit fee): -
-� / / ( St surcharge (12% of permit fee): . , ( q
- Authorized signature . `C f TOTAL PERMIT FEE: 'Ze( 7 9
Print name: This permit application expires if permit is not obtained within 180
� �f y �� , Date: G ��77 - /0/ days after it has been accepted 45 completes
t:\ Bus ?nalpermaslEJ-- PCimirApp.doc 05/2=6 • • Number of inspections allowed per permit.
4 4o.eei (111ns/COM/WEB
CITY OF TIGARD ELECTRICAL PERMIT
1
PERMIT #: ELC2008 -00660
COMMUNITY DEVELOPMENT DATE ISSUED: 12/3/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134AD-06202
SITE ADDRESS: 10500 SW NIMBUS AVE T ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT : JURISDICTION: TIG
PROJECT: SOLID ROCK FELLOWSHIP
Project Description: (1) branch circuit.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
CONSTANCE & LYNN ROBINSON SHAW WEST COMPANY
10240 SW NIMBUS AVE #L3 PO BOX 1427
PORTLAND, OR 97223 TUALATIN, OR 97062
Phone: Contact #: PRI 503 - 682 -3939
FAX 503 - 682 -3723
FEES
Description Date Amount Reg #: ELE 34 -70c
[ELPRMT] ELC Permit 12/3/2008 $46.85 LIC 63142
[TAX] 12% State Surchar 12/3/2008 $5.62 SUP 53165
Total $52.47 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. Yo y obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: Se& 7 /(fL7
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
i
�j
•
.Electrical Permit Apple ., E\VE,,ID FOR OFFICE USE ONLY
11 , . City of Tigard na ar • M
13125 SW Hall Blvd., Tigard, OR 9722 r ? �1)} • Plan v
Revie
Phone: 503.639.4171 Pax 503.598. 960u ! ' - j /Br, 0111aPcrmic L. I i - t.0_r '
..T l GA r. D Inspection Line: 503.639.4175 V Dm? R4a003Y• 15 See rage 2 for •
Internet: www tigard- or,gov ' f. I1�' • , Notified/hIethod: . M • Supplemental Hnformadon
1 , '' Ng , ''7' , o [ � j r ) � 1 S f , a n y J if t r l l e,, ,,I1 , 'O T . : .r , :a i 7 . 7 ; rat - ; k 'f if t, 0' ' ),?;,,, r F�� it LE F''.'l 9. 1c 8NY'� . fi ',' e , �'d'' . -. S r�F +S �f ;;T :: • .'iSU s !. lt•,46,t , ,, ,.. ott.. ,..: a. ; + rr .4. :_r 1 . , ..,:.h- . ::R�;r'i.ezf3. - '�i :G..-2. : ,�h A.,!v 41 .1% ■ <. .,,1 X7,.1 ,a ,,�g•SkE.in. t r;E
D New construction El Additio. R !I. on/replacement Please check all that appiy (submit a sets *EOM w /items checked below):
❑ Demolition „ ❑ Ocher: ❑ Se vice of feeder 400 amps or more I7 Building over dies stories.
yyyy fl ' a 9 where the available fault currant Marinas and
.,
�',� t j 4 , -i _. {� +; la r'ft'0, J�> (ole r , t rr >r ., y i exceeds 10000 saps 150 voice or D Floating bmldin
z..x,..x, w..l
.. . : r .1 : , _ -- - o jl 1 'p U -1 w w r 1 r r .'. , I . 1.•: ; " l' t '-'0=--"- at 0
to ground, or exceeds 14,000 Commercial-14e ariralimal '
❑1 and 2- frrmilydwelling is Cornmercial/industrial 0 Accessory building amps for all °dim install4lons. bindings,
•�, �O_!_ F ��1?? p....__.... ..._- ._,..- ._O n7 - - °•_-...- .......
• - -- - - - �Multrfamli � Mosterbut3d LL... -J1 �v'thCr -r
X ' �F� i c u i, ! �' . r �rula , r n �} > i I if ,, , T r r , { t i ❑ lml moy system larger separately derived system
ri • J _ •1{t•u Eltl(tl� It �I(S A7 rd r e r r a t-:,.. i s ��;
� c;v,?iri�i�li I , /�'i!1 �1� �r " : G , N lrl :ro�.....s - -- - ' ,,�,r.,11s,,- � . r .." , :<. . rs:_ ,.; :4 ❑ Addition of new motor load of ❑ "A ". 8 ^. "1-2". "13 ".
Job no.: ST2639 Job site address: 10500 SW Nimbus, Bldg steer er more, Rsne anoy.
. ❑ Six or more residential mite, d Rerreslional vedielepad¢, .
City /State/ZIP: Portland, OR 97223 0 Rcalth.com ficiiiiies. 1:1 Supply voltage for mare thh
liHazardour locations. 600 volts nominal.
Suite/bldg. /apt.no.: Project name: Solid Rock Church - ❑ Sa'teeortiedc600 amps ormore.
e'yc+ S 'T'ii� 1 jn. C 1 ,,'ti It ,� f,!���I;et .l
Cross, street/directions to job site: • Demblion .1._ �R. s g }.,., O _ F + . Total :-u
New residential single- or multi- family dwelling unit.
Includes attached garage. •
Subdivision: - Lot no.: 1,000 so, R or less 145.15 4
Tax map/parcel no.: Ea, add'1500 so. it or portion 33.40 1 •
Limited energy, residential 75.00 2
1 -1 , ,a1 a 7 r ' : ` :L- 7 + , , L `r' a c 1 It , r•rj ,, 1 i11 " }' '77::7 5. ., i"C ii i 77T sir - , P 1
ict:14 iti;i.i. .c. i y i=. , '4. ..o-T <�,'• t 1 ....a t, 1, �.. a bo ve ". l 1 )
j _ G ..ti 1• 1 . { "! , . Limited energy, mull- fanu7y •
Install 50amp 208v outlet for coffee maker . residential (with above sq. it) 75.00 2
Services or feeders installation, alteration, and/or relocatio
_ 200 amps or leas 8030 2• '
w 131":5. "-i r r 7, Tr . s er--r •- rir ; y 's , ;y t4 1 . 1
- . 3 ,, G �'o� /ih �l Jul y „ � l` f i i yr r, .„ r ..0 , ., 4,-,;:t-2-.., l i Ps ,
u., . r I ., ., , a .h,% `.`c:�; r, ..Er r : ,• � f t.,' ., ar ...I,T..i f.. rl _I y �lc I �w. :� 201 aDS to 400 emp s lOb.85 2
Name: 401 amps to 600 amps 160.60. 2
601 amps to 1,000 amps 240.60 2 •
Address: • Over 1,000 amps or volts 454.65 2
City/State/ZIP: . Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) I 200 amps or less 66.85 Owner installation: This installation is being made on prop to erty that I own which is not 201 amps 400 amps 10030 1-2....1
• intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Ownm's' store: Branch circuits - new, alteration, or extension, per panel
t g:-rn� i �„ c r A. Fee for branch circuits win
1 1 3 ∎ :, , , , , 'Iv ' ,a 4 � e l , r > ,I � i n 1y a �l i•,, L,* ` ppq f � x ^ 'r',i " 'N . �t �.l . `D)r13 ,/,..v.0) k..,,1L, 0 � � w , / i , above service 0r feeder fee,
f each branch circuit 6.65 2
Business name: B. Fee for branch circuits
•
Contact name: without service or feeds fhe, 1 46.85 4 6 . 8 5 2
• first branch circuit .
Address: Each add'l branch circuit 6.65 2
. Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular
dwelling. service and/or ibeder 90.90 2
Phone: ( ) • Pax: : ( ) Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
i. 'V , - a } i • Tyr �'iiT i ' yMt 'i � st i ," ' r r s a; N r Sign or outline lihrting 53,40 2
.lia�1 � >. . .uLL� w_�e �aLC,,. :�( tv,,.�t [ J, �.cr.. •. I...
Business name: Shaw West Co. • Signal circuit(s) or limited -
energy panel, alteration, or ,
Address: P.O. Box 1427 • e�dension. Describe Page 2 2
City /State/ZIP: Tualatin OR 97062 Each additional inspection over allowable in _ . 'of the above
503 6823939 Fax: 503 682 -3723 P�inspection 62,50
Phone:
( ) ( ) Investigation per hour (1 hr min) 62,50 •
- CCB Lic.: 63142 - I Electrical Lie.: 34-70C Suprv. Lie.: 5316S Industrial plant per hour 7175
0 '4A ".17;i _ :.11 I E1irfkr liiii. :.Q.:j: :l am ry i -8 : 3 1 ttis •
Subtotals --
-- Supty- Elcctriciatrsignae►re;Te9nired -�- - _ -- ��-
� - - - - - - .
_ Plan review (25% of permit•ftc):
Print name: Dale T. Blake I Date: 3,2 / 2 / 0 8 • •
Stare surcharge (12% of permit fee): 5 . 6 2
-
Autborixed•slgnature: TOTAL PERMITFBE: 52.47
l remains: - t 3•H A .-Eta -831 }, JX ae: - 132 _2 This permit application expires beer ecepte ,es.co plae. obtained Nithin 180 -
. ,,-- 0`3 ",,,,,, ` - ,. _ I D t _- / � Q days• alieri6has.becnaet�pted •as•eomplets. , -
• Number of Inspections allowed per permit .
r:18ua &°aWamt .C.PmmnApp.dac OS/23/06 4046157(I troS/COM/wEB -
1 • •
l 00 /j 00 'd Yid £i ; ZO dA1/800Z/Z0/3311
CITY OF TilGArt 1
1.
c-
I: UILDONG DIVIISION
PERMIT #: rj
D ATE 8.006;41
13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED:
Phone: (503) 639-4171 "4
Inspection Requests (24 Hrs.): (503) 639-4175 .4.402:1414,
INSPECTION WORKSHEET FOR DATE: 1129 TIME: 7 PAGE: 7 •
SITE ADDRESS: 1 • , ,L,;‘,..v p i lkomc Hwy CLASS OF WORK:
SUBDIVISION: N01-0 H I IC, Afa>VILI..t::: TODITION LOT #: 03(5, TYPE OF USE:
PROJECT NAME: spEc: spik,s:;E:
DESCRIPTION: Ti
OWNER: 1: OF t:•;: QARRY COULY, PHOtEct: ,ti3 - 6091 '
CONTRACTOR: Dir;kiKiot,is LIECTkif.:. PHONE #: /,;03-2
Inspection Request Scheduled For: Date: it Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 F.lectfic.711 I in'ai r:0012t01 503- Eila. 2972 N
Corrections/Comments/ Instructions:
I ) K) S e' t ? A * COS con n ol 1 ---"q .v-ri A 3 /((
'c- 40 14/ a no . i- - Seo d_ ,W.1) 1(0
(') P at iet , (2 I (AA c.4..c • cA rt.. 4 ed- ,s; p %ask
e_e4I've.-1,1 c r A a b i , ( 0-A-INI P- no iv-vt (14"--11.1
4-0 '
u A ceble.1-0 itd-ik--i 4-y
cabte• e f-0 tieo-1--i• 0.-i,t P 3 ZO - 2,?) 9 #1) Cf Cr e ift/ Q s
4 4.5 2. 1f- , " 41- "ova 1, '; K i' p 5cA
34 e4-- ;' ci-Q-. A'e-ct. ( 4 itct 1 4
(frt.) i r e--t--- / / 0 - 74 --
r PASS 111 PARTIAL APPROVAL 0 CANCEL ___ NO ACCESS
CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: ‘,71€4.424 Date: 1 ^ 9-, — 1 Phone #: (503) 718-